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Quality of health care and interdisciplinary collaboration from the perspective of employees and patients 从员工和患者的角度看医疗质量和跨学科合作
Pub Date : 2023-11-22 DOI: 10.2478/pielxxiw-2023-0032
M. Šimec, Sabina Krsnik, K. Erjavec
Abstract Introduction. Cooperation in an interdisciplinary team is an important aspect of ensuring the quality and safety of patient care, although the interaction of individuals from different disciplines in the clinical environment can also be hampered by inadequate communication. Aim. This study attempts to fill the research gap and identify professionals’ perceptions of interdisciplinary collaboration and quality measures, the impact of interdisciplinary collaboration on the quality of care in a general hospital and clarify the perspective of patients and healthcare professionals. Material and methods. The case study was conducted using a survey of healthcare professionals (N = 150) and a qualitative approach by interviewing healthcare professionals (N = 47) and patients (N = 20). Results and conclusions. The results of the survey show that the nurses rated all the criteria of interdisciplinary cooperation and individual quality criteria the highest, and the quality of care in general the worst, as they were not satisfied with the implementation due to the lack of staff. The exchange of information did not affect the quality of care because organizational and national authorities did not sufficiently consider the views of staff. In in-depth interviews, patients rate teamwork as poor because they do not get enough explanation and do not feel treated as equal members of the medical team. In in-depth interviews, patients and healthcare professionals are aware of the lack of teamwork among themselves, as well as of the quality of care due to staff shortages in general and especially during the pandemic.
摘要 简介。跨学科团队的合作是确保病人护理质量和安全的一个重要方面,但来自不同学科的个人在临床环境中的互动也可能因沟通不足而受到阻碍。研究目的本研究试图填补研究空白,确定专业人员对跨学科合作和质量措施的看法、跨学科合作对综合医院护理质量的影响,并阐明患者和医护人员的观点。材料和方法。案例研究通过对医护专业人员(N = 150)进行调查,以及对医护专业人员(N = 47)和患者(N = 20)进行访谈的定性方法进行。结果和结论。调查结果显示,护士对跨学科合作的所有标准和单项质量标准的评分最高,对总体护理质量的评分最差,因为人手不足,他们对实施情况不满意。信息交流对护理质量没有影响,因为组织和国家当局没有充分考虑工作人员的意见。在深入访谈中,病人认为团队合作很差,因为他们没有得到足够的解释,也不觉得自己是医疗团队的平等成员。在深入访谈中,病人和医护专业人员都意识到他们之间缺乏团队合作,以及在一般情况下,特别是在大流行病期间,由于人员短缺而导致的护理质量问题。
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引用次数: 0
Access to information on the requirements to work as a nurse in Poland, provided to Ukrainian refugee background nurses by nursing self-government institutions. Word Wide Web Content Analysis 获取护士自治机构向有乌克兰难民背景的护士提供的有关在波兰从事护士工作的要求的信息。万维网内容分析
Pub Date : 2023-09-01 DOI: 10.2478/pielxxiw-2023-0023
I. Cieślak, M. Panczyk, M. Jaworski, Dimitrios Theofanidis, J. Gotlib
Abstract Aim. The aim of the study was to determine whether the National Chamber of Nurses and Midwives (NIPiP), as well as the District Chambers of Nurses and Midwives (OIPiP), undertake activities to inform Ukrainian war refugees - nurses (UKR-Ns) about the simplified work permit procedure. Material and methods. We analysed work permit related information for UKR-Ns available on the NIPIP and OIPIP websites. The research was conducted in two stages: 1) content analysis of information for UKR-Ns posted on the official NIPiP website 2) quantitative and qualitative analysis of information for UKR-Ns on official OIPIP websites. Results. The analysis of information on work permits demonstrated that its content and the way in which this information was communicated varied greatly over time. Seven OIPIs did not publish any information on the procedure of obtaining work permits by UKR-Ns and for three OIPIPs, access to information was modified and/or removed from the website at the time of the observation undertaken. The vast majority of OIPIPs provided information that could only be considered as partly relevant. Conclusions. The information for UKR-Ns, regarding the process of obtaining work permits, published by the NIPiP and OIPiPs on their official websites requires modification, both in terms of content and form.
摘要 目的。本研究旨在确定全国护士和助产士商会(NIPiP)以及地区护士和助产士商会(OIPiP)是否开展了向乌克兰战争难民--护士(UKR-Ns)宣传简化工作许可程序的活动。材料和方法。我们分析了国家护士和助产士协会(NIPIP)和区护士和助产士协会(OIPIP)网站上与乌克兰战争难民-护士(UKR-Ns)有关的工作许可信息。研究分两个阶段进行:1) 对国家知识产权保护局官方网站上发布的针对苏联籍人士的信息进行内容分析 2) 对国家知识产权保护局官方网站上发布的针对苏联籍人士的信息进行定量和定性分析。结果。对工作许可信息的分析表明,这些信息的内容和传播方式在不同时期存在很大差异。有 7 个 OIPI 没有公布任何有关英国侨民获得工作许可程序的信息,有 3 个 OIPI 在进行观察时,网站上的信息已被修改和/或删除。绝大多数 OIPIP 提供的信息只能被视为部分相关。结论。国家知识产权保护局和国家知识产权保护办公室在其官方网站上公布的有关获得工作许 可程序的信息,无论是内容还是形式都需要修改。
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引用次数: 0
Nursing documentation of newborns with birth weight under 1500g in an Italian Neonatal Intensive Care Unit: a cross-mapping study to develop an ICNp® subset 意大利新生儿重症监护室出生体重不足 1500 克新生儿的护理记录:为开发 ICNp® 子集而进行的交叉映射研究
Pub Date : 2023-09-01 DOI: 10.2478/pielxxiw-2023-0029
Valentina Tommasi, Barbara Bassola, Chiara Merlo, Paola Coscia, Marco Alessandrini, Giuseppe Miraglia, Samuele Sessa, Silvia Cilluffo, Maura Lusignani
Abstract Aim. This study aims to verify the possibility of developing an International Classification for Nursing Practice (ICNP) Subset for preterm newborns hospitalized in Neonatal Intensive Care Unit (NICU). Material and methods. This retrospective descriptive study is a lexical cross-mapping from nurses’ notes to the ICNP. The study analyzes a convenience sample of 115 newborns’ nursing notes of a NICU. The sample included preterm newborns with birth weight under 1500g hospitalized for at least three days. The frequency distribution, and the percentage frequency distribution of ICNP terms, together with ICNP terms for each need of the Italian nursing conceptual model were calculated. Results. As many as 99.8% of nursing phenomena in nurses’ notes found correspondence with ICNP terms. A total number of 203 ICNP terms described nursing phenomena, of which 161 belonged to pre-coordinated axes. Frequency of ICNP terms was categorized according to an Italian nursing conceptual model. Need of Nutrition and Hydration, need of Breathing and need of Urinary and Bowel Elimination were the patients’ needs with the highest number of ICNP terms. Conclusions. Results of the study suggest the possibility of developing an ICNP Subset for the NICU. Further studies are needed to validate a Subset and new ICNP terms.
摘要 目的。本研究旨在验证为在新生儿重症监护室(NICU)住院的早产新生儿制定国际护理实践分类(ICNP)子集的可能性。材料和方法。这项回顾性描述研究是从护士笔记到 ICNP 的词汇交叉映射。研究分析了新生儿重症监护室的 115 份新生儿护理记录。样本包括出生体重在 1500 克以下、住院至少三天的早产新生儿。计算了 ICNP 术语的频率分布和百分比频率分布,以及意大利护理概念模型中每种需求的 ICNP 术语。结果显示护士笔记中高达 99.8% 的护理现象与 ICNP 术语存在对应关系。共有 203 个 ICNP 术语描述了护理现象,其中 161 个属于预协调轴。根据意大利护理概念模型对 ICNP 术语的频率进行了分类。营养和水分需求、呼吸需求以及排尿和排便需求是使用 ICNP 术语最多的患者需求。结论研究结果表明,有可能为新生儿重症监护室开发一个 ICNP 子集。要验证子集和新的 ICNP 术语,还需要进一步的研究。
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引用次数: 0
New technologies used in the education of nurses and midwives 用于护士和助产士教育的新技术
Pub Date : 2023-09-01 DOI: 10.2478/pielxxiw-2023-0026
Marta Szara, J. Klukow
Abstract Introduction. Nursing education has undergone an evolution – from traditional models to methods that rely on technology to acquire knowledge, moving toward student-centered learning, teaching, and assessment. Aim. The aim of this paper is to analyse the literature on the use of modern technologies in the education of nurses and midwives. Material and methods. A critical analysis of the scientifi c literature was performed. The following databases were searched: PubMed, CINAHL® Complete, Web of Science, using a combination of keywords: mobile technologies, nursing, midwife, education, clinical education, apps. Conclusions. The literature provides various examples of innovative teaching and learning models in nursing and midwifery education. These methods involve combining traditional teaching with the use of novel technologies such as simulations, e-learning sessions, virtual learning environments, and the use of social media or applications on mobile devices (smartphones, tablets, etc.). The rapid technological growth and evolving expectations of today’s students are forcing the need to off er them educational services that make a broader use of visual media, provide feedback, and provide environments that allow students develop their own ways on how to acquire knowledge and skills. Smartphone-based learning can be considered an eff ective complementary method for delivering educational materials to nursing and midwifery students to enhance their skills.
摘要 引言。护理教育经历了从传统模式到依靠技术获取知识的方法,再到以学生为中心的学习、教学和评估的演变。目的本文旨在分析有关在护士和助产士教育中使用现代技术的文献。材料和方法。对科学文献进行了批判性分析。搜索了以下数据库:PubMed、CINAHL® Complete、Web of Science,使用关键词组合:移动技术、护理、助产士、教育、临床教育、应用程序。结论文献提供了护理和助产教育中创新教学模式的各种实例。这些方法涉及将传统教学与新技术的使用相结合,如模拟教学、电子学习课程、虚拟学习环境以及社交媒体或移动设备(智能手机、平板电脑等)应用程序的使用。技术的飞速发展和当今学生不断变化的期望迫使我们必须为他们提供更广泛使用视觉媒体的教育服务,提供反馈,并提供允许学生以自己的方式获取知识和技能的环境。基于智能手机的学习可被视为一种有效的补充方法,用于向护理和助产专业的学生提供教学材料,以提高他们的技能。
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引用次数: 0
Assessment of Mobility in Working Age Stroke Patients during the Covid-19 pandemic 评估工作年龄段中风患者在 Covid-19 大流行期间的行动能力
Pub Date : 2023-09-01 DOI: 10.2478/pielxxiw-2023-0027
M. Bosacka, G. Bączyk
Abstract Aim. Early neurological rehabilitation is essential to regain functional efficiency and achieve an optimal level of independence, especially during the COVID-19 pandemic. The objective of the work was to assess the functional performance of patients of working age after hemorrhagic or ischemic brain stroke admitted to the neurological rehabilitation unit and to assess additional factors aff ecting the eff ectiveness of neurological rehabilitation. Material and methods. The study group included 89 patients admitted to the neurological rehabilitation unit. The eligibility criterion for the treatment group was the age of 25-55 years (professionally active people) and the suff ered hemorrhagic or ischemic brain stroke. The functional performance assessment was performed using the Barthel Index and the NHPT (Nine Hole Peg Test) test. Socio-demographic data were obtained from the analysis of medical records. The survey was conducted on the fi rst and last day of stay. Results. There was a signifi cant impact of age on the type of stroke, with people with an ischemic stroke being indeed statistically older than those with hemorrhagic stroke (50± 5 years), compared to those with hemorrhagic stroke (46± 8 years). It has been established that the time spent in a unit is dependent on the age of the patient, the older the patient the longer the hospitalization lasts. The tests assessing the functionality of the hands have showed statistically signifi cant improvements in the study group. It has been demonstrated that the improvement of functional performance depended on gender. People with diabetes performed statistically worse (Me=28 vs. Me=21). Conclusions. 1. Older people after stroke need more time to rehabilitate. 2. There is a need for more rehabilitation in people with diabetes. 3. Longer rehabilitation for men is advisable regardless of the type of stroke.
摘要 目的。早期神经康复对于恢复功能效率和达到最佳独立水平至关重要,尤其是在 COVID-19 大流行期间。本研究旨在评估神经康复科收治的出血性或缺血性脑卒中后劳动年龄患者的功能表现,并评估影响神经康复效果的其他因素。材料和方法研究组包括 89 名入住神经康复科的患者。治疗组的资格标准是年龄在 25-55 岁之间(职业活跃人群),患有出血性或缺血性脑卒中。功能表现评估采用巴特尔指数和九孔钉测试(NHPT)。社会人口学数据来自病历分析。调查在住院第一天和最后一天进行。结果年龄对中风类型有显著影响,据统计,缺血性中风患者的年龄(50± 5 岁)确实大于出血性中风患者(46± 8 岁)。住院时间与患者年龄有关,年龄越大,住院时间越长。评估手部功能的测试表明,研究组患者的手部功能在统计学上有明显改善。结果表明,功能的改善取决于性别。据统计,糖尿病患者的表现较差(Me=28 vs. Me=21)。结论: 1.1.中风后的老年人需要更多时间进行康复治疗。2.糖尿病患者需要更多的康复治疗。3.无论中风类型如何,男性康复时间都应更长。
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引用次数: 0
Maximum safety and minimum risk: midline access gained by a nurse-led Vascular Access and Infusion Team 最大的安全性和最小的风险:由护士领导的血管通路和输液小组获得中线通路
Pub Date : 2023-09-01 DOI: 10.2478/pielxxiw-2023-0025
Maciej Latos, M. Zawadka, D. Kosson
Abstract Aim. The aim of the study was to conduct a retrospective analysis of cannulations done under ultrasound guidance by the Vascular Access and Infusion Team using the Seldinger technique. Material and methods. This observational study was retrospective in nature. Analysis was carried out of 82 cannulation charts reporting procedures from March to August 2022 at the University Clinical Centre of the Medical University of Warsaw. Results. Midline access was gained in 86 patients with a success rate of 95.3% (n=82). Cannulation by nurses was performed in 93% (n=80) of the patients. The procedure required an average of 1.62 attempts. The most frequently cannulated veins were the basilic (72%, n=59) and brachial (14.6%, n=12) ones. MC removal in 40.2% (n=33) of the cases was due to the termination of intravenous therapy, and in 23.4% (n=19) was caused by complications related to infusion management. Conclusions. Implantation of midline catheters in patients, including those with difficult intravenous access, can be done eff ectively with a minimum number of cannulation attempts. Maintaining midline catheters for the entire duration of therapy is challenging due to potential complications and requires rigorous care during their use. A detailed analysis of possible complications distinguishing between diff erent types of complications and continuous improvement of observation protocols and appropriate management is advisable. It is also advisable to plan and conduct an observational study in the area of retrospective analysis.
摘要 目的。本研究旨在对血管通路和输液小组在超声引导下使用 Seldinger 技术进行的插管进行回顾性分析。材料和方法。本观察性研究为回顾性研究。对华沙医科大学大学临床中心 2022 年 3 月至 8 月期间报告的 82 份插管病历进行了分析。研究结果86名患者获得了中线入路,成功率为95.3%(n=82)。93%(80 人)的患者由护士进行了插管。手术平均需要 1.62 次尝试。最常插管的静脉是基底静脉(72%,人数=59)和肱静脉(14.6%,人数=12)。40.2%(33 人)的病例是由于终止静脉治疗而拔除 MC,23.4%(19 人)的病例是由于输液管理相关并发症而拔除 MC。结论为患者(包括静脉通路困难的患者)植入中线导管可有效减少插管次数。由于潜在的并发症,在整个治疗过程中保持中线导管是一项挑战,需要在使用过程中严格护理。最好对可能出现的并发症进行详细分析,区分不同类型的并发症,并不断改进观察方案和适当的处理方法。此外,在回顾性分析领域计划并开展一项观察研究也是可取的。
{"title":"Maximum safety and minimum risk: midline access gained by a nurse-led Vascular Access and Infusion Team","authors":"Maciej Latos, M. Zawadka, D. Kosson","doi":"10.2478/pielxxiw-2023-0025","DOIUrl":"https://doi.org/10.2478/pielxxiw-2023-0025","url":null,"abstract":"Abstract Aim. The aim of the study was to conduct a retrospective analysis of cannulations done under ultrasound guidance by the Vascular Access and Infusion Team using the Seldinger technique. Material and methods. This observational study was retrospective in nature. Analysis was carried out of 82 cannulation charts reporting procedures from March to August 2022 at the University Clinical Centre of the Medical University of Warsaw. Results. Midline access was gained in 86 patients with a success rate of 95.3% (n=82). Cannulation by nurses was performed in 93% (n=80) of the patients. The procedure required an average of 1.62 attempts. The most frequently cannulated veins were the basilic (72%, n=59) and brachial (14.6%, n=12) ones. MC removal in 40.2% (n=33) of the cases was due to the termination of intravenous therapy, and in 23.4% (n=19) was caused by complications related to infusion management. Conclusions. Implantation of midline catheters in patients, including those with difficult intravenous access, can be done eff ectively with a minimum number of cannulation attempts. Maintaining midline catheters for the entire duration of therapy is challenging due to potential complications and requires rigorous care during their use. A detailed analysis of possible complications distinguishing between diff erent types of complications and continuous improvement of observation protocols and appropriate management is advisable. It is also advisable to plan and conduct an observational study in the area of retrospective analysis.","PeriodicalId":326203,"journal":{"name":"Pielegniarstwo XXI wieku / Nursing in the 21st Century","volume":"2012 1","pages":"125 - 131"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139343803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Job Satisfaction of Community Nurses During the Covid-19 Pandemic: A Qualitative Interview Study Covid-19 大流行期间社区护士的工作满意度:定性访谈研究
Pub Date : 2023-09-01 DOI: 10.2478/pielxxiw-2023-0028
P. Kalinowska, L. Marcinowicz, Bożena Dobrzycka, Slawomir Terlikowski
Abstract Aim. This study aimed to investigate the job satisfaction of community nurses in the context of the Covid-19 pandemic. Material and methods. A qualitative descriptive study with thematic analysis was conducted. The study involved individual interviews conducted with 20 professionally active community nurses in Poland. The qualitative interviews were conducted via phone from November 2020 to May 2021. Results. Three primary themes were identifi ed in the study: (1) Reasons for job satisfaction; (2) Difficult situations occurring at the workplace; (3) Areas of change that could increase job satisfaction. Conclusions. Greater professional autonomy, sufficient nursing staff, and a clear division of tasks among the members of the health care team seem to be especially important for raising the level of job satisfaction of community nurses.
摘要 目的本研究旨在调查在 Covid-19 大流行的背景下社区护士的工作满意度。材料和方法。采用主题分析法进行定性描述研究。研究对波兰 20 名从事专业工作的社区护士进行了个别访谈。定性访谈于 2020 年 11 月至 2021 年 5 月通过电话进行。结果。研究确定了三个主要专题:(1)工作满意度的原因;(2)工作场所出现的困难情况;(3)可提高工作满意度的变革领域。结论。更大的专业自主权、充足的护理人员以及医护团队成员之间明确的任务分工对于提高社区护士的工作满意度似乎尤为重要。
{"title":"Job Satisfaction of Community Nurses During the Covid-19 Pandemic: A Qualitative Interview Study","authors":"P. Kalinowska, L. Marcinowicz, Bożena Dobrzycka, Slawomir Terlikowski","doi":"10.2478/pielxxiw-2023-0028","DOIUrl":"https://doi.org/10.2478/pielxxiw-2023-0028","url":null,"abstract":"Abstract Aim. This study aimed to investigate the job satisfaction of community nurses in the context of the Covid-19 pandemic. Material and methods. A qualitative descriptive study with thematic analysis was conducted. The study involved individual interviews conducted with 20 professionally active community nurses in Poland. The qualitative interviews were conducted via phone from November 2020 to May 2021. Results. Three primary themes were identifi ed in the study: (1) Reasons for job satisfaction; (2) Difficult situations occurring at the workplace; (3) Areas of change that could increase job satisfaction. Conclusions. Greater professional autonomy, sufficient nursing staff, and a clear division of tasks among the members of the health care team seem to be especially important for raising the level of job satisfaction of community nurses.","PeriodicalId":326203,"journal":{"name":"Pielegniarstwo XXI wieku / Nursing in the 21st Century","volume":"35 1","pages":"156 - 160"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139343835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Experiential methods in ethical education of nursing and midwifery students 护理和助产专业学生道德教育的体验方法
Pub Date : 2023-09-01 DOI: 10.2478/pielxxiw-2023-0024
Bogumiła Kosicka, Patrycja Ozdoba, Magdalena Dziurka, Sylwia Boczkowska, M. Machul, Agnieszka Chrzan-Rodak, B. Dobrowolska
Abstract Introduction. Nursing, midwifery ethics education has been changing over the years. The necessity to reduce the knowledge-practice gap has been highlighted, consequently, modern training methods - based on experience - have been introduced. Aim. To present the importance of empirical teaching methods in the formation of ethical competence of nursing and midwifery students and and the objectives of the project implemented under the ERASMUS + program, KA220-HED entitled “Strengthening the ethical competence of future nurses and midwives: An inter-professional action-learning project on experiential training methods (ETHCOM)”. Material and methods. A non-systematic literature review was performed using databases (PubMed, CINAHL Complete). The analysis included 38 articles published between 2010 and 2023 in Polish and English. Results. In traditional methods of ethical education, the teacher plays the main role, while in those based on experience – the student. Among the experiential methods of learning ethics by nursing and midwifery students that are eff ective in acquiring and development of ethical competence can be distinguished, e.g. learning through games, storytelling, simulation etc. The selection of an educational method in the process of training ethical competence among nursing and midwifery students is important so that future students are able to face contemporary ethical problems.
摘要 引言。多年来,护理、助产士伦理教育一直在发生变化。缩小知识与实践差距的必要性已得到强调,因此,基于经验的现代培训方法已被引入。目的介绍经验教学法在培养护理和助产专业学生道德能力方面的重要性,以及在 ERASMUS + 计划下实施的题为 "加强未来护士和助产士的道德能力 "的 KA220-HED 项目的目标:关于体验式培训方法(ETHCOM)的跨专业行动学习项目"。材料和方法。利用数据库(PubMed、CINAHL Complete)进行了非系统性文献综述。分析包括 2010 年至 2023 年间用波兰语和英语发表的 38 篇文章。结果在传统的道德教育方法中,教师扮演着主要角色,而在基于经验的方法中,学生扮演着主要角色。在护理和助产专业学生学习伦理的体验式方法中,可以区分出对获得和发展伦理能力有效的方法,如通过游戏、讲故事、模拟等进行学习。在培养护理和助产专业学生伦理能力的过程中,选择一种教育方法非常重要,这样未来的学生才有能力面对当代的伦理问题。
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引用次数: 0
Selected aspects of patient communication and occupational burnout among nurses working during the COVID-19 pandemic 在 COVID-19 大流行期间工作的护士与患者沟通和职业倦怠的某些方面
Pub Date : 2023-09-01 DOI: 10.2478/pielxxiw-2023-0022
Joanna Mazur, Alicja Kozakiewicz, Maciej Białorudzki, Zbigniew Izdebski
Abstract Aim. The purpose of the study was to assess how perceived verbal and non-verbal communication, occupational burnout, age, having children and satisfaction with job performance interact with communication with patients among nurses during the COVID-19 pandemic. Material and methods. Total number of 1187 female nurses, who declared that they work with patients on a daily basis, were included in the analyses. The mean age of the respondents was 50.4 (SD = 10.1) years. The study used the author’s questions relating to perceived verbal and non-verbal communication, as well as the HPCSS-12 (Health Professionals Communication Scale) and BAT-12 (Burnout Assessment Tool) scales. Results. In the linear regression model perceived importance of non-verbal communication (b = 0.135; p<0.001) and emotional impairment measured by BAT-12 (b = -0.092; p = 0.003), proved to be the main predictors of the total HPCSS-12 score. Age (b = -0.085; p = 0.003), satisfaction with achievements at work (b = 0.082; p = 0.007), having children (b = 0.072; p = 0.012) and perceived importance of verbal communication (b=0,082; p=0,014) were found to be further predictors. Conclusions. It is important to implement expert training and continue educating nurses in areas related to proper communication, which will allow them to respond adequately and humanely to patients’ expectations.
摘要 目的本研究旨在评估在 COVID-19 大流行期间,感知到的语言和非语言沟通、职业倦怠、年龄、有无子女以及对工作表现的满意度如何与护士与患者的沟通相互影响。材料和方法共有 1187 名宣称每天与病人打交道的女护士参与了分析。受访者的平均年龄为 50.4 岁(SD = 10.1)。研究采用了作者提出的与感知到的语言和非语言沟通有关的问题,以及 HPCSS-12(卫生专业人员沟通量表)和 BAT-12(职业倦怠评估工具)量表。研究结果在线性回归模型中,非语言沟通的重要性感知(b = 0.135;p<0.001)和 BAT-12 测量的情感障碍(b = -0.092;p = 0.003)被证明是 HPCSS-12 总分的主要预测因素。年龄 (b = -0.085; p = 0.003)、对工作成就的满意度 (b = 0.082; p = 0.007)、有无子女 (b = 0.072; p = 0.012) 和对语言交流重要性的认知 (b=0,082; p=0,014) 被认为是进一步的预测因素。结论对护士进行适当沟通相关领域的专家培训和继续教育非常重要,这将使他们能够充分、人性化地回应患者的期望。
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引用次数: 0
Risk Factors Associated with Burnout among Medical Faculty: A Systematic Review 与医务人员职业倦怠相关的风险因素:系统回顾
Pub Date : 2023-09-01 DOI: 10.2478/pielxxiw-2023-0030
Maryam Alvandi, Jenna Davis
Abstract Aim. Burnout syndrome in academicians of healthcare professions adversely aff ects their well-being and performance during work, and it is considered common worldwide. The aim of this systematic review was to identify burnout factors among medical faculty. Material and methods. Electronic searches were conducted in Citations and Abstracts for Literature of Nursing and Allied Health (CINAHL) Plus with full text, MEDLINE with full text, Academic Search Complete, and PsycInfo following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. After excluding duplicates and articles, which did not meet the inclusion criteria, 17 studies were included in the fi nal analysis. The Quality Index checklist developed by Downs & Black was used to evaluate the methodological quality of the included studies. There are no randomized controlled trials in our area of interest, and non-randomized studies scored low. Results. A total of 17 studies (7,056 participants) across six countries were compatible with the inclusion criteria. Main associated factors of burnout included socio-demographic and work-related characteristics; physician factors (age, gender minority status, disability, desire to reduce the workload) and workplace culture; demographic factors, including sex, ethnicity/race, years of experience, specialty, and work-related factors; lack of institutional factors, such as mentorship, collaboration opportunities, feelings of empowerment, value, and support of well-being; poor faculty relationships and professional behaviors; perceived stressors, spousal/ partner support, self-efficacy, and depression; long working hours, interpersonal interactions among the colleagues, family and social factors, including challenges related specifically to women, feelings and emotions, and personal qualities; high workload, limited time off, nature of work (high stake job), stigma/culture around burnout, administrative burden, lack of autonomy, and frequent performance feedback; high schedule misalignment; inadequate professional fulfillment, culture of wellness, personal reliance, and efficiency of practice; lack of organizational justice and job satisfaction; and anxiety-depression levels. Conclusions. There was a considerable prevalence of burnout among medical faculty, which can be debilitating. Burnout among medical faculty remains the greatest threat to institutional growth and success.
摘要 目的医疗保健专业的院士们的职业倦怠综合症对他们的身心健康和工作表现产生了负面影响,在全世界范围内都很常见。本系统性综述旨在确定医学教师中的职业倦怠因素。材料和方法。按照《系统综述和元分析首选报告项目》(PRISMA)指南,在《护理和专职医疗文献引用和摘要》(CINAHL)Plus(含全文)、MEDLINE(含全文)、Academic Search Complete 和 PsycInfo 中进行电子检索。在排除重复文章和不符合纳入标准的文章后,有 17 项研究被纳入最终分析。唐斯和布莱克(Downs & Black)开发的质量指数核对表用于评估纳入研究的方法学质量。在我们关注的领域中没有随机对照试验,非随机研究得分较低。结果。共有 17 项研究(7,056 名参与者)符合纳入标准,涉及 6 个国家。职业倦怠的主要相关因素包括:社会人口学特征和工作相关特征;医生因素(年龄、性别少数身份、残疾、减少工作量的愿望)和工作场所文化;人口学因素,包括性别、民族/种族、工作年限、专业和工作相关因素;缺乏制度因素,如导师制、合作机会、授权感、价值感和对幸福的支持;不良的师生关系和职业行为;感知到的压力、配偶/伴侣的支持、自我效能感和抑郁;工作时间长、同事之间的人际交往、家庭和社会因素,包括与女性、感觉和情绪以及个人素质具体相关的挑战;工作量大、休息时间有限、工作性质(高风险工作)、围绕职业倦怠的耻辱感/文化、行政负担、缺乏自主权以及频繁的绩效反馈;时间安排失调;专业成就感、健康文化、个人依赖性和实践效率不足;缺乏组织公正和工作满意度;以及焦虑抑郁水平。结论医学教职员工的职业倦怠现象相当普遍,这可能会使人崩溃。医学教职员工的职业倦怠仍然是机构发展和成功的最大威胁。
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引用次数: 0
期刊
Pielegniarstwo XXI wieku / Nursing in the 21st Century
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